RASMUSSEN PHARM EXAM 3 LATEST UPDATED
VERSION 2024/2025 WITH DETAILED QUESTIONS
AND A+ GRADED CORRECT ANSWERS
What is drug of choice for a patient with angina and HTN? Why? - CORRECT ANSWER
Calcium channel blockers.
Because it is a vasodilator (widens blood vessels)
Drugs like calcium channel blockers and alpha Blockers can cause postural
hypotension. Why? - CORRECT ANSWER Widen blood vessels
VASODILATION
Vasoactive drugs like beta blockers often come with parameters for their use. What are
common BP and HR parameters which the med should be held? - CORRECT
ANSWER Apical pulse <60
Systolic blood pressure <90
Patient tells you that she was receiving put in an antihypertensive medication and is
now experiencing a dry persistent cough. You suspect she is on what class of
medication? - CORRECT ANSWER ACE inhibitors
What class works better in treating HTN in African Americans - CORRECT ANSWER
Calcium channel blockers
,Pulmonary Embolism - CORRECT ANSWER clot in lung
Anticoagulants - CORRECT ANSWER Used to prevent clot formation
They DO NOT dissolve clots that have already formed.
***Body will dissolve clot eventually***
> Heparin
>Low-Molecular-Weight Heparins
>Oral Anticoagulants- Coumadin’s
>Selective Factor Ax (10a) Inhibitors
Heparin - CORRECT ANSWER Natural substance in the liver that prevents clot
formation
rapid anticoagulant effect when thrombosis is occurring because of a DVT, PE, or
evolving stroke.
MONITOR PTT & apt
Normal PTT: 60-90
Normal apt: 20-35
>> GIVE sub for prophylaxis or IV for acute treatment
ANTIDOTE for hemorrhage ~ protamine sulfate
enoxaparin (Love NOx) - CORRECT ANSWER *Low Molecular Weight Heparin*
***Produces a more stable response***
, prevention of DVT & PE after surgery
NO lab monitoring needed
can be reversed with protamine sulfate if needed
***administered after surgery sub to prevent blood clots
Warfarin - CORRECT ANSWER Antidote: Vitamin K
Signs of anticoagulation toxicity: Blood in urine, stool, vomit, bleeding gums, excessive
bruising
Need INR 2-3
Many drug/food interactions - Need physician approval to take any other prescriptions
or OTC meds
S/S of Hypokalemia? - CORRECT ANSWER Muscle weakness, lethargy, anorexia,
dysrhythmias
S/S of Hyperkalemia? - CORRECT ANSWER Cardiac dysrhythmias, twitching, fatigue,
paresthesia’s, dyspnea, cramping, diarrhea
Atorvastatin (Lipitor), Simvastatin (Zocor) - CORRECT ANSWER Not typically given to
patients with hepatic or biliary disease as it may lead to liver damage
Watch for rhabdomyolysis-breakdown of muscle leading to renal failure
VERSION 2024/2025 WITH DETAILED QUESTIONS
AND A+ GRADED CORRECT ANSWERS
What is drug of choice for a patient with angina and HTN? Why? - CORRECT ANSWER
Calcium channel blockers.
Because it is a vasodilator (widens blood vessels)
Drugs like calcium channel blockers and alpha Blockers can cause postural
hypotension. Why? - CORRECT ANSWER Widen blood vessels
VASODILATION
Vasoactive drugs like beta blockers often come with parameters for their use. What are
common BP and HR parameters which the med should be held? - CORRECT
ANSWER Apical pulse <60
Systolic blood pressure <90
Patient tells you that she was receiving put in an antihypertensive medication and is
now experiencing a dry persistent cough. You suspect she is on what class of
medication? - CORRECT ANSWER ACE inhibitors
What class works better in treating HTN in African Americans - CORRECT ANSWER
Calcium channel blockers
,Pulmonary Embolism - CORRECT ANSWER clot in lung
Anticoagulants - CORRECT ANSWER Used to prevent clot formation
They DO NOT dissolve clots that have already formed.
***Body will dissolve clot eventually***
> Heparin
>Low-Molecular-Weight Heparins
>Oral Anticoagulants- Coumadin’s
>Selective Factor Ax (10a) Inhibitors
Heparin - CORRECT ANSWER Natural substance in the liver that prevents clot
formation
rapid anticoagulant effect when thrombosis is occurring because of a DVT, PE, or
evolving stroke.
MONITOR PTT & apt
Normal PTT: 60-90
Normal apt: 20-35
>> GIVE sub for prophylaxis or IV for acute treatment
ANTIDOTE for hemorrhage ~ protamine sulfate
enoxaparin (Love NOx) - CORRECT ANSWER *Low Molecular Weight Heparin*
***Produces a more stable response***
, prevention of DVT & PE after surgery
NO lab monitoring needed
can be reversed with protamine sulfate if needed
***administered after surgery sub to prevent blood clots
Warfarin - CORRECT ANSWER Antidote: Vitamin K
Signs of anticoagulation toxicity: Blood in urine, stool, vomit, bleeding gums, excessive
bruising
Need INR 2-3
Many drug/food interactions - Need physician approval to take any other prescriptions
or OTC meds
S/S of Hypokalemia? - CORRECT ANSWER Muscle weakness, lethargy, anorexia,
dysrhythmias
S/S of Hyperkalemia? - CORRECT ANSWER Cardiac dysrhythmias, twitching, fatigue,
paresthesia’s, dyspnea, cramping, diarrhea
Atorvastatin (Lipitor), Simvastatin (Zocor) - CORRECT ANSWER Not typically given to
patients with hepatic or biliary disease as it may lead to liver damage
Watch for rhabdomyolysis-breakdown of muscle leading to renal failure
